• Led day-to-day operations within Profit & Loss (P&L), analytics, medical/pharmacy cost management, stop-loss, contracting, database/claims configuration, client/member services, and vendor relations for a level-funded health benefits program with a 100% renewal rate.• Developed revenue growth at over 100% annually to achieve positive cash flow by the end of 2025.• Expanded stop-loss partnerships to maintain full retention with decreased/flat renewal rates for clients.• Improved organizational Key Performance Indicators (KPIs) to help clients achieve higher surplus bonuses.

• Redesigned pharmacy benefits to save clients $916,000 per year while reducing member out-of-pocket by 35%. This represents a capture rate of 95.1% of all savings potential.• Built analytics reporting for client and product performance including member acuity tracking.• Created digital platform with proprietary risk model with auto-ping process for proactive care to manage costs.• Contracted several of the largest hospital systems in MA and increased provider network among Direct Primary Care (DPC) practices.

• Healthy Price is an organization focusing on cost, quality, and proximity of care information via a secure mobile delivery application platform with the goal of making receiving medical services more transparent and less daunting for patients across over 800 service categories.• Oversaw the short-term and long-term strategic decisions related to market growth and product developments.• Managed relationships with state agencies along with company partners.• Maintained relationship with investors to ensure that cashflow was maintained.• Company was successfully acquired by AllaraCare.

• Guided an analytics group working in partnership with Senior Executives within Finance, Contracting, Medical Management, Quality, and Operations to improve population health outcomes while reducing medical cost and utilization trends for the 430,000 Commercial, Medicaid, Medicare, and Medicare Advantage members across 15 hospitals, 800 PCPs, and 3,500 specialists attributed under the Accountable Care Organization (ACO) model.• Given four service awards for leadership in expanding self-service analytics functions to allow access to real-time business metrics for provider and payer reporting.• Modeled care retention improvement plans across the network leading to a 3.4% year-over-year change for all services lines, which helps increase care coordination and revenue capture by $58.4 million across the system.• Helped formulate reporting and data mapping strategy in the merger between Beth Israel and Lahey Health.

• Managed a team of analysts and developers responsible for creating shared savings payment methodologies along with analytical tools to serve approximately 50 million members for behavioral health services across the country across all products/populations.• Built reporting to improve readmission and follow-up rates with other HEDIS measures as part of quality.• Successfully implemented Value-Based Payments reporting in MA and NH since taking leadership of program.

• Lead Analyst of Provider Performance and Contracting for the Senior Executives within the Northeast Region in charge of mentoring other analysts.• Given Key Contributor Award twice for leadership in developing cost-saving initiatives.• Modeled the Diagnostic-Related Grouping (DRG) conversion for the MA health plan’s inpatient business to reduce annual spending by $1,900,000 and developed fee schedule for durable medical equipment for NH Medicaid business, which projected to save $980,000 per year.• Designed and developed provider profiling for use by Finance, Contracting, Provider Relations, Operations, and Medical Management teams along with redirection tool to help steer member activity back into the network.

• Wrote SQL code to provide analysis from a variety of large data sources for contract negotiations with the hospitals and physician groups across New England.• Overlooked projects to ensure complex regulation compliance and accurate reporting for MA and RI.• Created and maintained Excel tools that show real-time financial information for all contracted entities.

• Provided high-level administrative support to the professional activities of the Victorian Palliative Medicine Training Program (VPMTP) and the Victorian Palliative Care Nurse Practitioner Collaborative (VPCNPC) with the Center for Palliative Care.• Liaised with top physicians across Australia working in Palliative Care along with the Australian Institute of Health and Welfare• Routinely wrote up proposals for Senior Management on office improvements.• Helped construct the 2012 budgets and allocate $2,200,000 in funding (including a newly secured $400,000 for Pediatrics) to various doctors involved with Palliative Medicine Training within the state of Victoria.• Created a new invoice system to improve budget tracking.• Worked closely with Administrative Assistants to ensure the office was fully supplied, invoices were correctly sent off, the website was up to date, and minutes were taken at every meeting.• Received the highest performance rating possible along with an award for my contributions.

• Provided customer support and set appointments for financial services and tax clients.• Maintained a successful long-term rapport with clients.• Developed a filing system for tax services.• Updated online database information.• Introduced and ran recycling program.